The Effect of Pelvic Floor Exercise on Urinary Incontinence and Quality of Sex Life

NCT04577872 | Completed

• 1 other identifier: 019234/2014/OTIG
• Study Type: interventional
• Target: 55
• Locations: 0 countries
• Sites: N/A

Brief Summary

This physiotherapist-guided group training programme should be performed in both the supine and the sitting positions; it is investigated, which is better and more cost-effective in patient motivation.

Conditions

Pelvic Floor Muscle Weakness; Urinary Incontinence

Keywords

pelvic floor muscle training; transverse abdominal muscle; ultrasound measurement; urinary incontinence; vaginal surface electromyography

Outcome Measures

Primary Outcomes (1)

• Investigation of the effects of the pelvic floor muscle training (PFM-T)

  It is measured the change of the pelvic floor muscle with Vaginal surface electromyography (vsEMG).

  28 months

Study Arms (3)

Supine group (n=22)

EXPERIMENTAL

The 22 participants with lower muscle strength (under 60 microvolt) comprised the supine group.

Other: Pelvic floor muscle training

Sitting group (n=19)

EXPERIMENTAL

The 19 participants with higher muscle strength (over 60 microvolt) formed the sitting group.

Other: Pelvic floor muscle training

Control group (n=14)

NO INTERVENTION

The control group comprised 7 individuals with lower muscle strength (under 60 microvolt) and 7 with higher muscle strength (over 60 microvolt)

Interventions

Pelvic floor muscle training OTHER

The treatment for the sitting group comprised 8 sessions, with a 1-hour combined pelvic floor muscle training (cPFM-T) session each week in a group and 15 minutes of individual home training, six times a week for a total of 8 weeks of treatment. All training sessions comprised warming-up, gradual muscle strengthening and relaxation exercises. In the study, before and after the training programme, we used a self-administered questionnaire.We measured changes in pelvic floor muscle activity with a vaginal surface electromyographic instrument. We performed the transversus abdominis measurements at the same time as the vaginal measurements and pelvic floor muscle tasks.

Sitting group (n=19); Supine group (n=22)

Eligibility Criteria

• Age: 18 Years - 25 Years
• Gender Eligibility Details: nulliparous women
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• We included in the study groups women participants willing to participate in the study and able to contract the pelvic floor and transversus abdominis muscles correctly. Participants were required to maintain their everyday activities (attending lessons, sport activities, and so on).

You may not qualify if:

• known neurological or rheumatological diseases and previous vaginal or abdominal surgery.

Sponsors & Collaborators

• Szeged University: lead

Related Publications (7)

• Madill SJ, McLean L. Quantification of abdominal and pelvic floor muscle synergies in response to voluntary pelvic floor muscle contractions. J Electromyogr Kinesiol. 2008 Dec;18(6):955-64. doi: 10.1016/j.jelekin.2007.05.001. Epub 2007 Jul 23.

  PMID: 17646112 BACKGROUND

• Chmielewska D, Stania M, Sobota G, Kwasna K, Blaszczak E, Taradaj J, Juras G. Impact of different body positions on bioelectrical activity of the pelvic floor muscles in nulliparous continent women. Biomed Res Int. 2015;2015:905897. doi: 10.1155/2015/905897. Epub 2015 Feb 22.

  PMID: 25793212 BACKGROUND

• Haslam J. The prevalence of stress urinary incontinence in women. Nurs Times. 2004 May 18;100(20):71-3. No abstract available.

  PMID: 15176284 RESULT

• KEGEL AH. Progressive resistance exercise in the functional restoration of the perineal muscles. Am J Obstet Gynecol. 1948 Aug;56(2):238-48. doi: 10.1016/0002-9378(48)90266-x. No abstract available.

  PMID: 18877152 RESULT

• Dumoulin C, Cacciari LP, Hay-Smith EJC. Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women. Cochrane Database Syst Rev. 2018 Oct 4;10(10):CD005654. doi: 10.1002/14651858.CD005654.pub4.

  PMID: 30288727 RESULT

• Capson AC, Nashed J, Mclean L. The role of lumbopelvic posture in pelvic floor muscle activation in continent women. J Electromyogr Kinesiol. 2011 Feb;21(1):166-77. doi: 10.1016/j.jelekin.2010.07.017. Epub 2010 Sep 15.

  PMID: 20833070 RESULT

• Sapsford RR, Richardson CA, Stanton WR. Sitting posture affects pelvic floor muscle activity in parous women: an observational study. Aust J Physiother. 2006;52(3):219-22. doi: 10.1016/s0004-9514(06)70031-9.

  PMID: 16942457 RESULT

Related Links

• Related Info

MeSH Terms

Conditions

Urinary Incontinence

Condition Hierarchy (Ancestors)

Urination Disorders; Urologic Diseases; Female Urogenital Diseases; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Male Urogenital Diseases; Lower Urinary Tract Symptoms; Urological Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Edit Nagy, Habil. PhD

  University of Szeged, Faculty of Health Sciences and Social Studies

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: September 23, 2020
• First Posted: October 8, 2020
• Study Start: January 1, 2016
• Primary Completion: April 30, 2018
• Study Completion: January 31, 2019
• Last Updated: November 12, 2020

Record last verified: 2020-09

Data Sharing

• IPD Sharing: Will not share